The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2016 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UNIFESP |
| Texto Completo: | http://dx.doi.org/10.1093/rheumatology/kew277 https://repositorio.unifesp.br/handle/11600/56824 |
Resumo: | Objectives. To evaluate the impact and risk factors associated with an abnormal exercise test ( ET) in systemic inflammatory rheumatic disease ( SIRD) patients before commencing supervised physical exercise. Methods. A total of 235 SIRD patients were enrolled in three controlled clinical trials, including 103 RA, 42 SLE and 57 AS patients. The control group consisted of 231 healthy, sedentary subjects matched for age, gender and BMI. All performed an ET, according to Bruce's or Ellestad's protocol. Cardiovascular disease risk factors, medications, comorbidities and details of each SIRD were assessed. Results. SIRD patients had a higher percentage of abnormal ETs compared with the control group, especially exercise hypertensive behaviour, higher oxygen consumption, higher resting heart rate and heart rate at the first minute of recovery, and chronotropic incompetence (C-Inc) (P < 0.001). The disease itself was involved with higher likelihood of having an abnormal ET [Odds ratio (OR) = 12.0, 95% CI: 2.5, 56.7 |
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The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseasesrheumatoid arthritissystemic lupus erythematosusankylosing spondylitisexercisecardiovascularObjectives. To evaluate the impact and risk factors associated with an abnormal exercise test ( ET) in systemic inflammatory rheumatic disease ( SIRD) patients before commencing supervised physical exercise. Methods. A total of 235 SIRD patients were enrolled in three controlled clinical trials, including 103 RA, 42 SLE and 57 AS patients. The control group consisted of 231 healthy, sedentary subjects matched for age, gender and BMI. All performed an ET, according to Bruce's or Ellestad's protocol. Cardiovascular disease risk factors, medications, comorbidities and details of each SIRD were assessed. Results. SIRD patients had a higher percentage of abnormal ETs compared with the control group, especially exercise hypertensive behaviour, higher oxygen consumption, higher resting heart rate and heart rate at the first minute of recovery, and chronotropic incompetence (C-Inc) (P < 0.001). The disease itself was involved with higher likelihood of having an abnormal ET [Odds ratio (OR) = 12.0, 95% CI: 2.5, 56.7P = 0.002 for SLEOR = 13.56, 95% CI: 6.16, 29.8P < 0.001 for RAand OR = 4.31, 95% CI: 1.17, 15.8P = 0.028, for AS]. Each 10-year increment of age increased the chance of having an abnormal ET by 13% (P = 0.008) in AS patients, as well as hypertension (OR = 7.14, 95% CI: 1.61, 31.6P = 0.01). Regarding C-Inc, age played a protective role (OR = 0.88, 95% CI: 0.78, 0.99P = 0.043) in SLE, and ASDAS-ESR was associated with a higher risk in AS (OR = 2.73, 95% CI: 0.93, 8.0P = 0.067). Conclusion. Our results showed a higher prevalence of abnormal ETs in asymptomatic cardiovascular SIRD patients, and the disease itself was associated with a higher likelihood of having an abnormal test, emphasizing the relevance and need of performing it before starting supervised physical exercise.Fed Univ Sao Paulo UNIFESP EPM, Div Rheumatol, Sao Paulo, BrazilDante Pazzanese Hosp, Dept Cardiol, Sao Paulo, BrazilFed Univ Para UFPA, Sch Dent, Para, BrazilRheumatology Division, Universidade Federal de São Paulo (UNIFESP), Escola Paulista de Medicina (EPM), São Paulo, BrasilWeb of ScienceOxford Univ Press2020-07-31T12:47:25Z2020-07-31T12:47:25Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion1978-1986http://dx.doi.org/10.1093/rheumatology/kew277Rheumatology. Oxford, v. 55, n. 11, p. 1978-1986, 2016.10.1093/rheumatology/kew2771462-0324https://repositorio.unifesp.br/handle/11600/56824WOS:000388555100010engRheumatologyOxfordinfo:eu-repo/semantics/openAccessKlemz, Barbara Nascimento de Carvalho [UNIFESP]Reis-Neto, Edgard Torres dos [UNIFESP]Jennings, Fabio [UNIFESP]Siqueira, Usmary Sardinha [UNIFESP]Klemz, Fabio KadratzCosta Pinheiro, Helder HenriqueSato, Emilia Inoue [UNIFESP]Natour, Jamil [UNIFESP]Szejnfeld, Vera Lucia [UNIFESP]Pinheiro, Marcelo de Medeiros [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2022-02-09T10:20:36Zoai:repositorio.unifesp.br/:11600/56824Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652022-02-09T10:20:36Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
| dc.title.none.fl_str_mv |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| title |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| spellingShingle |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases Klemz, Barbara Nascimento de Carvalho [UNIFESP] rheumatoid arthritis systemic lupus erythematosus ankylosing spondylitis exercise cardiovascular |
| title_short |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| title_full |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| title_fullStr |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| title_full_unstemmed |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| title_sort |
The relevance of performing exercise test before starting supervised physical exercise in asymptomatic cardiovascular patients with rheumatic diseases |
| author |
Klemz, Barbara Nascimento de Carvalho [UNIFESP] |
| author_facet |
Klemz, Barbara Nascimento de Carvalho [UNIFESP] Reis-Neto, Edgard Torres dos [UNIFESP] Jennings, Fabio [UNIFESP] Siqueira, Usmary Sardinha [UNIFESP] Klemz, Fabio Kadratz Costa Pinheiro, Helder Henrique Sato, Emilia Inoue [UNIFESP] Natour, Jamil [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Pinheiro, Marcelo de Medeiros [UNIFESP] |
| author_role |
author |
| author2 |
Reis-Neto, Edgard Torres dos [UNIFESP] Jennings, Fabio [UNIFESP] Siqueira, Usmary Sardinha [UNIFESP] Klemz, Fabio Kadratz Costa Pinheiro, Helder Henrique Sato, Emilia Inoue [UNIFESP] Natour, Jamil [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Pinheiro, Marcelo de Medeiros [UNIFESP] |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Klemz, Barbara Nascimento de Carvalho [UNIFESP] Reis-Neto, Edgard Torres dos [UNIFESP] Jennings, Fabio [UNIFESP] Siqueira, Usmary Sardinha [UNIFESP] Klemz, Fabio Kadratz Costa Pinheiro, Helder Henrique Sato, Emilia Inoue [UNIFESP] Natour, Jamil [UNIFESP] Szejnfeld, Vera Lucia [UNIFESP] Pinheiro, Marcelo de Medeiros [UNIFESP] |
| dc.subject.por.fl_str_mv |
rheumatoid arthritis systemic lupus erythematosus ankylosing spondylitis exercise cardiovascular |
| topic |
rheumatoid arthritis systemic lupus erythematosus ankylosing spondylitis exercise cardiovascular |
| description |
Objectives. To evaluate the impact and risk factors associated with an abnormal exercise test ( ET) in systemic inflammatory rheumatic disease ( SIRD) patients before commencing supervised physical exercise. Methods. A total of 235 SIRD patients were enrolled in three controlled clinical trials, including 103 RA, 42 SLE and 57 AS patients. The control group consisted of 231 healthy, sedentary subjects matched for age, gender and BMI. All performed an ET, according to Bruce's or Ellestad's protocol. Cardiovascular disease risk factors, medications, comorbidities and details of each SIRD were assessed. Results. SIRD patients had a higher percentage of abnormal ETs compared with the control group, especially exercise hypertensive behaviour, higher oxygen consumption, higher resting heart rate and heart rate at the first minute of recovery, and chronotropic incompetence (C-Inc) (P < 0.001). The disease itself was involved with higher likelihood of having an abnormal ET [Odds ratio (OR) = 12.0, 95% CI: 2.5, 56.7 |
| publishDate |
2016 |
| dc.date.none.fl_str_mv |
2016 2020-07-31T12:47:25Z 2020-07-31T12:47:25Z |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1093/rheumatology/kew277 Rheumatology. Oxford, v. 55, n. 11, p. 1978-1986, 2016. 10.1093/rheumatology/kew277 1462-0324 https://repositorio.unifesp.br/handle/11600/56824 WOS:000388555100010 |
| url |
http://dx.doi.org/10.1093/rheumatology/kew277 https://repositorio.unifesp.br/handle/11600/56824 |
| identifier_str_mv |
Rheumatology. Oxford, v. 55, n. 11, p. 1978-1986, 2016. 10.1093/rheumatology/kew277 1462-0324 WOS:000388555100010 |
| dc.language.iso.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
Rheumatology |
| dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
| eu_rights_str_mv |
openAccess |
| dc.format.none.fl_str_mv |
1978-1986 |
| dc.coverage.none.fl_str_mv |
Oxford |
| dc.publisher.none.fl_str_mv |
Oxford Univ Press |
| publisher.none.fl_str_mv |
Oxford Univ Press |
| dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
| instname_str |
Universidade Federal de São Paulo (UNIFESP) |
| instacron_str |
UNIFESP |
| institution |
UNIFESP |
| reponame_str |
Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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biblioteca.csp@unifesp.br |
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1814268340176158720 |